Healthcare Provider Details

I. General information

NPI: 1861559957
Provider Name (Legal Business Name): DONNA MAY ZOOK PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 2ND AVE N SUITE 620
GREAT FALLS MT
59401-3259
US

IV. Provider business mailing address

1601 2ND AVE N SUITE 620
GREAT FALLS MT
59401-3259
US

V. Phone/Fax

Practice location:
  • Phone: 406-453-5638
  • Fax: 406-453-1534
Mailing address:
  • Phone: 406-453-5638
  • Fax: 406-453-1534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1054
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberMT349
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberMT349
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: